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Wandering acetabulum is seen in -
Wandering acetabulum is seen in tuberculosis of hip when destroyed head dislocates from the acetabulum.
149,000
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Malignantchangeinachoroidalnevusisevidenced by:
Ans. All of the above
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A 55-year-old diabetic man has a long history of renal failure. He is currently waiting for an organ for transplant and has been on hemodialysis in the interim. If this man develops amyloid deposits around his joints, they are likely to be composed of which of the following substances?
Amyloid deposits appear similar by light and electron microscopy, but actually represent a heterogeneous population of proteins that have a common teiary structure forming a beta-pleated sheet. Questions about the type of amyloid seen in different disease states are orites on examinations. Here are two tables to help y...
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Next to HBV, virus implicated in hepatocellular Ca is
Ans. is 'a' i.e. HCV Hepatitis B and Hepatitis C viruses can cause hepatocellular carcinoma.
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On blood agar target appearance of Cl. perfringens is due to which toxin -
Ans. is 'd' i.e., All of the above * Two important characteristic feature of Cl. perfringens are1) Target hemolysis (double zone hemolysis) on blood agar. It is a narrow zone of complete hemolysis by theta toxin which is surrounded by a wider incomplete hemolysis by alpha-toxin.2) Naegler's reaction detects alpha toxin...
149,004
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Which of the following is not a co-factor for pyruvate dehydrogenase complex?
Co-factor for PDH complex are: Thiamine pyrophosphate (vit B1), FAD (vit B2), NAD (vit B3), coA (vit B5), Lipoic acid.
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Toxic shock syyndrome caused by staphylococcus is due to -
The pyrogenic toxin superantigens are a family of small-molecular-size, structurally similar proteins that are responsible for two diseases: TSS and food poisoning. TSS results from the ability of enterotoxins and TSST-1 to function as T cell mitogens. Enterotoxins bind directly to the invariant region of MHC--outside ...
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A fetus was found to have congenital heart block what should be evaluated in the mother?
Ans. (c) SLERef- Williams Obstetrics 25th Ed; Page No-1139-42* Congenital heart block develops almost exclusively in fetuses of women with antibodies to the SS-A or SS-B antigens for Anti-Ro (SS-A) antibody.* Prevalence rate with these antibodies are 30-49%.* Fetal cardiac monitoring is performed between 18 and 26 week...
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Among the pulses, the highest quantity of protein is present in:
Soyabean
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For a term small for date baby, true is –
First let me differentiate the following three terms Low birth weight neonates Preterm infant (Premature infant) Small for gestational age (small for date) i)  Low birth weight Any neonate weighing less than 2500 gms at birth irrespective of the gestational age. ii) Preterm infant (premature infant) Any neonate ...
149,009
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True about location of Ig chromosome:
A i.e. lc- 2In humans, genes for light chains-Kappa (lc) is in chromosome 2; for light chain lambda (X) is in chromosome 22 and genes for heavy chains are in chromosome 14Q.Each of the 5 classes of immunoglobulin has a characterstic type of heavy chain - alpha (a) in IgA, gamma (y) in IgG, delta (8) in IgD, mu (.t) in ...
149,010
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Which of the following is used as screening for systemic lupus erythmetosus?
Ans. is 'a' i.e., Antinuclear antibody Autoantibodies in systemic lupus erythematosus (SLE)AntibodyPrevalence %Antigen RecognizedClinical UtilityAntinuclear98Multiple nuclearBest screening test; repeated negative tests make SLE unlikelyantibodiesAnti-dsDNA70DNA (double-stranded)High titers are SLE-specific and in some ...
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Neovascular glaucoma is not seen in
In JRA, glaucoma generally presents as acute angle closure, due to posterior synechiae, or chronic angle closure, which results from progressive, peripheral anterior synechiae.
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Inhalation agent of choice in head injury with raised ICT is ?
Ans. is 'a' i.e., Isoflurane Isoflurane It is an isomer of enflurane with similar propeies but 11/2 times more potent. BP falls due to vasodilation, while cardiac output is maintained inhalation anaesthetic of choice in Cardiac surgery (intravenous anaesthetic of choice for cardiac surgery is etomidate). It does not se...
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Diagnosis of aoic calcification is done by fluoroscopy by seeing:
Ans. Side to side movement
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Incidence of congenital glaucoma is:
Ans. 1 in 10,000 bihs
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Testes are not palpable in -
Ans. is 'a' i.e., SRY deletion o WT-1 and SF-1 genes stimulate genital ridge to form primitive (bipotential) gonad which then differentiate either into ovary or testis.o SRY geneis involved in development of male gonds (testes) from primitive (bipotential gonads)o DAX-1, WNT-4 and RSPO1 genes are involved in developmen...
149,016
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Which Vitamin is involved in Redox reactions
Ans. is 'd' i.e., Riboflavin
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Most common cause of meningitis in children between 6 months to 2 years of age is:
Most common cause of meningitis from 3months to 2-3 years is due to Hemophilus Influenza, Streptococcus Pneumonia, Meningococci. Ref: Kliegman, Behrman, Jenson, Stanton (2008), Chapter 602, "Central Nervous System Infections", In the book, "NELSON TEXTBOOK OF PEDIATRICS", Volume 2, 18th Edition, New Delhi, Page 2514
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Which of the following mineral has similar action like vitamin E
Selenium is needed for the enzyme glutathione peroxidase involved in the defence against free radical mediated damage of lipid bilayer Vitamin E is also involved in the same So, selenium has sparing effect on Vitamin E, i.e. Vitamin E deficiency can be corrected with selenium and vice versa.
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POEMS Syndrome includes all, EXCEPT:
The features of this syndrome are polyneuropathy, organomegaly, endocrinopathy, multiple myeloma, and skin changes (POEMS). Patients usually have a severe, progressive sensorimotor polyneuropathy associated with sclerotic bone lesions from myeloma. Polyneuropathy occurs in ~1.4% of myelomas, but the POEMS syndrome is o...
149,020
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Oral and topical drug for nasal decongestion is ?
Ans. is 'a' i.e., Phenylephrine Phenvlephrine It is selective alpha 1 agonist. Topically it is used as nasal decongestant and in eye for producing mydriasis when cycloplegia is not required. It is also a pa of oral nasal decongestant preparations.
149,021
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Which of the following is the constituent of mini pill?
Ans: a (Only progesterone) Ref: Shaw, 13th ed, p. 228The constituent of minipill is only progesterone. It does not contain estrogen. It is also known as progesterone only pill.OCP(a) Combined- Monophasic- Multiphasic -Sequential pill (only estrogen in 1st 14 days and estrogen + progesterone in next 14)(b) Minipill -Pro...
149,022
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In a neonate, kidney is supplied by?
Upto 5th week of intrauterine life, kidney is in lumbar region and renal aeries are branches of common iliac aery (see above explanation). After that, differential growth of abdominal wall causes the kidney to ascent to lumbar region. Adult position (lumbar region of abdomen) is attained by 9th week. Druing progressive...
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Cilastatin is given along with
.
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60 yrs old man presents in OPD with history of opium addiction for the last 20 yrs. He has given up opium from 2 days. Withdrawal symptoms will include -
Manifestations of morphine withdrawal Lacrimation, Rhinorrhoea, sweating, anxiety & fear, yawning, restlessness, Goose flesh (piloerection), mydriasis, insomnia, abdominal colic, diarrhea, rise in BP, dehydration, palpitation, muscle cramp & body pain, rapid weight loss.
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Most common complication of electroconvulsive therapy is
Electroconvulsive therapyCentral Nervous System Effects: Headache, confusion, and delirium sholy after the seizure while the patient is coming out of anaesthesia. Memory: memory impairment is seen in 75% following ECT. Except for retrograde memory impairment, other cognitive effects generally return to pre-ECT baseline...
149,026
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All of the following factors accelerate the development of rigor mois in a dead body, EXCEPT:
Cold temperature slows the onset and progression of rigor mois. It is because of the slow onset and breakdown of ATP in cold weather. Rigor mois usually has an onset 1-2 hours after death and gets well established in the entire body in about 9-12hrs. Factors accelerating the onset of rigor mois are: Warm temperature Th...
149,027
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In a sampling technique, every 10th unit of population is chosen. What is this type of sampling technique called?
Systematic random sampling is a sampling technique. It is done by picking up every 5th or 10th unit at regular intervals. By this method, each in the sampling frame would have the same chance of being selected, but the number of possible samples is reduced. Other sampling methods are simple random sampling, stratified ...
149,028
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Most common mode of treatment of a 1 year old child with asthma is:
Asthma in children between 1-3 years of age is treated with inhaled beta-2 adrenergics and/or theophylline administered by nebuliser or face mask. Ref: Diagnosis and Management of Asthma, Mani S. Kavuru, 2007 - Page 41; Pediatric Allergy, Asthma And Immunology, Springer, 2008 - Page 828; Ghai Essential Pediatrics - 6th...
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A 10-year-old girl has multiple excoriations that have appeared on the skin of her hands over the past week. The child reports that she scratches her hands because they itch. Physical examination shows multiple 0.2- to 0.6-cm linear streaks in the interdigital regions. Treatment with a topical lindane lotion resolves t...
The small scabies mites burrow through the stratum corneum to produce the linear lesions, and the mites along with their eggs and feces produce intense pruritus. Scabies is easily transmitted by contact and typically occurs in community outbreaks. Ixodes scapularis is the tick that is the vector for Borrelia burgdorfer...
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All are substrates of Gluconeogenesis EXCEPT:
18 amino acids are glucogenic (out of 20). These all can form glucose. Only 2 amino acids are purely ketogenic which cannot form glucose i.e. Leucine, Lysine. As there is controversy regarding Lysine to be purely ketogenic we cannot mark this as not gluconeogenic. Hence its only safe to mark leucine in case one best an...
149,031
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A wave in JVP is due to ?
Ans. is 'a' i.e., Atrial systole
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Characteristics of Slow Wave Sleep are
(C) Heart rate and respiratory rate become irregular > Slow waves in the EEG and their behavioral correlate, slow-wave sleep, can be produced by stimulation of at least three subcortical regions.> The diencephalic sleep zone is in the posterior hypothalamus and the nearby intralaminar and anterior thalamic nuclei.> The...
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The decrease in plasma osmotic pressure is the cause of edema in?
• Following conditions can cause edema :- 1) The increased hydrostatic pressure of capillaries : It causes an increase in outward driving force. It may be due to impaired venous return e.g. in CHF or DVT. 2) Decreased plasma osmotic pressure of capillaries: It causes decreases in inward driving force. It results from H...
149,034
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A male 45 years old presents to the dental clinic with pain in lower back tooth region. Intraoral examination reveals carious 36. Root canal treatment done and zirconia crown has to be placed. Dentist makes an impression with polysulfide impression material. All of the following are the disadvantages of this material e...
Key Concept: High tear resistance is an advantage of Polysulfide impression materials. Characteristics of Elastomeric Impression Materials:
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All of the following are mid line swellings in neck, except
(A) Branchial cyst # DD of midline swellings of neck: Ludwigs angina; Enlarged submental lymph node; Sublingual dermoid cyst; Subhyoid bursitis; Thyroglossal cyst; Enlarged isthmus of thyroid gland; Pretracheal and prelaryngeal lymph nodes; Retrosternal goitre; Thymic swelling; Enlarged lymph nodes of lipoma in the sup...
149,036
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Seen in rickets A/E –a) Cupping of metaphysicb) Defective Mineralizationc) Epiphyseal dysgenesisd) Defective osteoid formation
In rickets osteoid (protein matrix) is formed normally but mineralization of this osteoid does not occur i.e. there is defective mineralization. Pathophysiology of rickets 1)   Normal anatomy and physiology of mineralization Normal growing bone has following regions (moving from end to centre) -
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The commonest cause of pathological fracture is generalized affection is:
B i.e. Ostoporosis
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A 24-year-old woman in her third trimester of pregnancy presents with urinary frequency and burning for the past few days. She denies fever, or chills. She has mild suprapubic tenderness, and a urine dipstick is positive for WBC, protein, and a small amount of blood. Culture produces greater than 100,000 colonies of gr...
P pili are found in uropathogenic strains of E. coli. By using P pili, E. coli is able to attach to epithelial cells lining the urinary tract. Pili or fimbriae are hair like structures, which are formed by only gram-negative bacteria. They are organs of adhesion and allow the bacteria to adhere to mucosal surface. Thes...
149,039
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A child presents with a solitary white well-defined patch on his right thigh. Diagnosis is –
Information is this question are :- Lesion is on thigh Unilateral lesion (Isolated lesion on Right thigh) Both these suggest Nevus achromicus, i.e. Nevus acromicus involves :- Trunk and proximal extremity (thigh in this question) Lesion is unilateral Also keep in mind that, though Nevus achromicus presents sinc...
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X- linked recessive disease in male with clotting defect is-
X- linked recessive disease in male with clotting defect is Hemophilia A XR (X-linked recessive) Color blindness Duchenne's Muscular Dystrophy Becker's Muscular Dystrophy Glucose-6-Phosphate Dehydrogenase deficiency(G6PD) Testicular Feminization Hunter's Syndrome Fabry's disease Ornithine Transcarboxylase deficiency Le...
149,041
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Which of the following is seen retinitis pigmentosa?
Retinitis pigmentosaApoptosis of rodsAR - most common RISK FACTOR- Consanguineous marriagesC/F- Nyctalopia- Ring scotoma +nt- Progress to tubular vision (constriction of visual fields) O/E- TRIAD- Pale waxy disc- Aeriolar attenuation- BONE SPICLUE PIGMENTATION (characteristic) - Gold standard for Dx - ERG- Measures the...
149,042
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All of the following statements about renal regulations in a paient with hypovolemic shock are true, expect(2018)
Renin is secreted from the juxtaglomerular cells that surround the renal afferent aerioles.Aldosterone secretion is regulated the renin-angiotensin system in a feedback manner.Angiotensin II has a generalized vasoconstrictor action. A drop in ECF volume or intra-aerial vascular volume leads to a reflex increase in rena...
149,043
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Best parameter measured by ultrasound to assess foetal maturity in the first trimester?
Ans. A. Crown - rump lengthThe most sensitive indicator of symmetric and asymmetric IUGR is the abdominal circumference, which has a sensitivity of over 95 percent if the measurement is below the 2.5th percentile. Head/abdomen ratio is very useful in suspected IUGR when sparing head growth is observed (asymmetrical IUG...
149,044
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Which is the following is an example of low grade Non-Hodgkin's lymphoma?
Follicular Lymphoma is a low grade non-Hodgkin's lymphoma Most common form of indolent lymphoma in adults. Hallmark is a (14;18) translocation that juxtaposes the IGH locus on chromosome 14 and the BCL2 locus on chromosome 18. The t(14;18) is seen in up to 90% of follicular lymphomas and leads to overexpression of BCL2...
149,045
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Which of the following is respiratory analeptic drug?
ANSWER: (D) DoxapramREF: KDT 6th edition page 470CNS STIMULANT CLASSIFICATIONConvulsants: Strychnine, Picrotoxin, Bicuculline, Pentylenetetrazol (PTZ)Analeptics: DoxapramPsychostimulants: Amphetamines, Methylphenidate, Modafinil, Pemoline, Cocaine, Caffeine.Doxapram: It acts by promoting excitation of central neurones....
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Increase in temperature during first 2 hours after death is due to?
Ans. is 'd' i.e., septicemia Postmortem caloricitv is seen in1) Due to disturbed heat regidation : Sun-stroke (heat stroke), pontine hemorrhage.2) Due to heat production by muscular activity: Tetanus, strychnine poisoning, asphyxial death.3) Acute bacterial or viral infections : Pneumonia, septicemia, liver abscess, pe...
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All of the following occur in pregnancy EXCEPT
(C) Decrease in fibrinogen levels # PHYSIOLOGICAL CHANGES ASSOCIATED WITH PREGNANCY:> Blood Volume increases progressively from 6-8 weeks gestation (pregnancy) and reaches a maximum at approximately 32-34 weeks with little change thereafter.> Renal plasma flow and glomerular filtration rate begin to increase progressiv...
149,048
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Who gave the basic concepts of "Analytical Psychology"?
Psychoanalysis : Sigmond Freud Child psychoanalysis: Anna Freud Analytical psychology: Carl Jung.
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Consistency of the gas permeable contact lenses is:
Ans. Hard
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Sudden inversion of foot leads to rupture of which tendon?
Ans. is 'b' i.e., Anterior talofibular ligament * The lateral collateral ligament is commonly sprained, mostly so the anterior talofibular component* Structures damaged due to inversion injury.i) Peroneal tendon injury.ii) Avulsion fracture of tip of lateral malleolus.iii) Avulsion fracture of anterolateral surface of ...
149,051
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All of the following are known side effects with the use of tocolytic therapy except:
Tocolysis for pregnancies beyond 34 weeks are associated with more complications and no clear benefits in fetal status. Hence tocolysis is now limited to pregnancies before 34 weeks. Common side effects of tocolytic therapy - Hypotension Tachycardia Hyperglycemia Pulmonary edema Cardiac arrythmias Hypokalemia Neonatal ...
149,052
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'Socialized medicine' concept was first given by
Socialized medicine - Free medical care by govt. regulated by professional groups or bodies. Concept given by Russia State medicine -free medical care by govt. Finger printing first given by - India Blindness control first staed by - India Compulsory sickness insurance given by- Germany
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A pregnant lady is suffering from peptic ulcer. Drug that is absolutely contraindicated is:-
Misoprostol (PGE1 analogue) is the MOST SPECIFIC drug for treatment and prevention of NSAID induced peptic ulcer (DOC is PPI). Commonest side effect of PG analogues is diarrhea and colicky abdominal pain. Misoprostol can cause aboion. It is therefore contraindicated in pregnancy.
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Discectomy can be performed using
Ans. D. ALLa. Discectomy is performed in case of accompanying LCS - fenestration with laminectomyb. Small disc with microscope/endoscope
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Nocardia is stained by:
Ans. is 'a' i.e., Acid fast stainRef:(Ananthanarayan, 8th/e, p. 393; 9th/e, p. 390-91)The first step in diagnosis is examination of sputum or pus for crooked, branching, beaded, gram-positive filaments 1 um wide and up to 50 um long. Most nocardiae are acid-fast in direct smears if a weak acid is used for decolorizatio...
149,056
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Virus causing acute onset sensorineural deafness -a) Corona virusb) Rubella, measlesc) Mumpsd) Adeno viruse) Rota virus
“The most common postnatal cause of acquired SNHL is meningitis, while the most common prenatal cause is intrauterine infection (eg TORCH infections, syphilis, mumps, measles)”. According to Scotts Browth 7/e, p 3579 – Specific viruses like mumps and syphilis and encephalitis can cause sudden sensorineural hearing loss...
149,057
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Urine concentrating ability of the kidney is increased by
Countercurrent mechanism is a system in the renal medulla that facilitates concentration of the urine as it passes through the renal tubules.Ref: Ganong&;s review of medical physiology; 24th edition; page no: 687
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a-Granules of platelet contains all of the following, EXCEPT:
Platelets play a critical role in normal hemostasis. Their function depends on several glycoprotein receptors, a contractile cytoskeleton, and two types of cytoplasmic granules. a-Granules have the adhesion molecule P-selectin on their membranes and contain fibrinogen, fibronectin, factors V and VIII, platelet factor 4...
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Periodic Acid Schiff stain shows block positivity in:
Lymphoblasts
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Brazilian purpuric fever is caused by?
Brazilian purpuric fever is caused by Haemophilus aegyptius. It is characterised by conjunctivitis which proceeds to fulminant septicemia in infants and children. There is high fatality. It was first recognized in Brazil in 1984. Ref: Ananthanarayan and Paniker's Textbook of Microbiology, 9th edition, p330,331.
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A 7 year old girl is brought with complaints of generalized swelling of the body. Urinary examination reveals grade 3 proteinuria and the presence of hyaline and fatty casts. She has no history of hematuria. Which of the following statements about her condition is true -
Ans. is 'a' i.e., No IgG deposits or C3 deposition on renal biopsy This girl is having i) Generalized swelling (edema) ii) Grade 3 proteinuria iii) Fatty casts (lipiduria) iv) No hematuria o All these features suggest the diagnosis of nephrotic syndrome. o Minimal change disease is the commonest cause of nephrotic synd...
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Which of the following has small representation in somatosensory area of cerebral cortex -
Ans. is 'd' i.e., Trunko A distinct topographic represention of the body can be demonstrated in somatosensory area-1.o Each side of the cortex receives sensory information from the opposite side of the body only (contralateral representation).o The body is represented upside down (vertical) in the postcentral gyrus, i....
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All are true about Bullous keratopathy except -
It is seen in fuch's dystrophy.Stage of bullous keratopathy,this stage follows long-standing stromal oedema and is characterised by marked epithelial oedema with formation of bullae, which when rupture cause pain, discomfo and irritation with associated decreased visual acquity.Reference:Comprehensive ophthalmology,AK ...
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Which of the following is very effective in Rx of acute exacerbation of asthma and status asthmaticus?
Ans. D. None of the above. (Ref. KDT 6th/224 - 227)KDT 6th/pg. 225........Currently, inhaled steroids are not considered necessary for patients with mild and episodic asthma. They are indicated when inhaled beta2 agnoists are required almost daily or the disease is not only episodic. Peak effect is after 4-7 days of in...
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B cells are induced to produce IgE by which of the following
ref : robbins 10th ed
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cove sensitization is mainly used in
In cove sensitization also called as imagined punishment, the individual who wants to quit alcohol will be asked to think about adverse consequences of taking alcohol like getting arrested for drunken driving or facing a accident underintoxicated state. He would be told to dream as if if he is drunk and lies intoxicate...
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Effective polymerase reaction was repeated for 3 cycleson a DNA molecule. What will be the resultingformation of the copies?
. 8 times
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Most common cause of aificial hea valve infection?
Ans. is 'c' i.e., Staph epidermidis Most common cause of prosthetic valve endocarditis upto 12 months is coagulase - negative staphylococci (staph. epidermidis). Most common causes of infective endocarditis In native wall - Staphylococcus aureus. In early prosthetic valve (up to 12 months after valve surgery) - Staphyl...
149,069
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A female patient presents with diffuse alopecia. There is no other significant past or present complain except that she had suffered from typhoid fever 4 months back. What would be the most probable diagnosis is:
Ans. B. Telogen effluviumAnagen Effluvium - hair loss during anagen - the onset may be rapid (within 2-4 weeks of the cause). Hair loss may be severe. Causes include: - Chemotherapy drugs (antimitotic agents), Radiotherapy, Malnutrition, Seborrheic dermatitis, Oral contraceptives, Vitamin A poisoning, Iron deficiency, ...
149,070
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Following operations are used for genital prolapse, EXCEPT:
Fenton's method is used for perineoplasty. All others are surgical correction methods of genital prolapse. Types of operation for genital prolapse: Anterior colporrhaphy Colpoperineorrhaphy Repair of enterocele Pelvic floor repair (PFR) Fothergill's or Manchester operation Vaginal hysterectomy with PFR or Ward Mayo's o...
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Neo Vscularization of iris is not seen in:
Neovascularization of iris is not seen in pigment dispersion syndrome. Neovascularization of Iris. Seen in the conditions where there is VEGF release post inflammation. Can cause neovascular glaucoma. Rx: PRP followed by trabeculectomy/shunt. Causes: PDR CRVO Ocular ischemic syndrome Central Retinal Aery Occlussion Sic...
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All are transmitted by milk except
Leishmaniasis is caused by Leishmania donovani. It is a parasitic infection. L.donovani passes its life cycle in 2 hosts, veebrate host ( man and dog), inveebrate host (female sand fly of genus Phlebotomus). The disease is transmitted by the bite of the infected sand fly. In bovine tuberculosis infected cows excreted b...
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Earliest lesion seen in asbestosis is:
It is the most common manifestation of asbestosis exposure composed of plaques of dense collagen containing calcium.they are usually asymptomatic and develop on anteroir and postereolateral pas of parietal pleura and over diaphragm.(ref Robbins 9/e p691)
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A child plays a simple ball game at:
Playing a simple ball game comes at 1 year or 52 weeks.
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What is present in the retropharyngeal space ?
Preveebral Fascia anteriorly is separated from the pharynx and buccopharyngeal fascia by the retropharyngeal space containing loose areolar tissue. Neck infections in front of the preveebral fascia in the retropharyngeal space usually arise from suppuration, i.e. formation of pus in the retropharyngeal lymph nodes. Ref...
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Nasopalatine cyst arises from
Nasopalatine cyst is also known as incisive canal cyst.
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Definitive laboratory diagnosis of acute pancreatitis is done by:
Answer is B (Serum Lipase) Serum lipase elevation is the most specific laboratory test for establishing a diagnosis of Acute Pancreatitis `A three fold elevated serum lipase value is usually diagnostic of acute pancreatitis' - Harrison Serum Lipase levels and serum amylase levels are both used to establish the diagnosi...
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In G-6PD deficient patient haemolysis is due to decrease in
Ans. is 'd' i.e. NADPH Glucose-6-POd dehydrogenase (G6PD) deficiencyis an X-linked recessive disorder* that causes episodic hemolytic anemia because of decreased ability of RBCs to deal with oxidative stresses.G6PD is the first and the rate limiting enzyme of the hexose monophosphate shunt (HMP shunt) which is responsi...
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Macrocytic anemia is not seen in:
Anemia of chronic disease
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All are true regarding killed polio vaccine except -
<p> IPV /salk polio vaccine. Strains - Mahoney( salk type 1) MEF1( salk type 2) saukett( salk type 3) Inactivated in formaldehyde. Final vaccine mixture contains 40 units of type1, 8 units of type 2, and 32 units of type3. Administration- intramuscular injection or subcutaneous. Should be refrigerated to ensure no loss...
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Nine days following splenectomy, a 13-year- old patient presents with fever and leukocytosis. The chest x-ray shows free air under the diaphragm. What is the most likely diagnosis?
Colon perforation is likely to show free air under the left hemidiaphragm. A subphrenic abscess presents with fever, leukocytosis, and a left pleural effusion. Gastric wall necrosis may likewise result in perforation with free air. There is air below the diaphragm following laparotomy, but it usually manifests symptoms...
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Opioid agonist are all fo the following except
Ketamine
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Which of the following acts as an acute phase reactant?
Ans: b (Serum ferritin) Ref: Rob7th ed, p. 84-85Acute phase reactants: They are a group of plasma proteins which rise during inflammation and trauma.Endotoxin (during an infection) stimulates the release of IL-1 from the Kupffer cells which leads to enhanced hepatic synthesis of the protein.Eg:FerritinHaptoglobulinCRPA...
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Frequency of woods lamp is ?
Ans. is `a' i.e., 360 nm Wood's lamp Wood's lamp has an ultraviolet light lamp (365 nm) with a filter containing nickle oxide and barium silicate. The UV light, when absorbed by ceain substances, fluorescences in dark and the color of fluorescence is useful in diagnosis of the condition. Condition Fluorescent colours T...
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Maximum chance of spread in accidental needle stick injury is?
Percentage of chances of transmission of infection with accidental stick injury HBsAg positive and HBeAg Positive 22-30% HBsAg positive and HBeAg Negative 1-6% Hepatitis C 1.8-3% HIV 0.3%
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A child presented with difficulty in seeing the blackboard at school. His teachers say that he frequently 'squint' his eyes. Most probable cause is:
For the myopic or nearsighted individual, objects nearby are in focus; those at a distance are blurred. This is because the plane of focus is anterior to the retina. The onset is typically at about age 8 years and may progress throughout adolescence and young adulthood. A myopic person may squint to produce a pinhole e...
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Alpha rhythm on EEG is seen in:
Alpha wave is seen when the person is awake, in a quiet, resting stage of cerebration. Mental work (focused attention) will convert alpha to beta wave. Light sleep converts alpha to theta wave.
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Pudendal nerve supplying motor part to external sphincter is derived from -
Ventral division of sacral plexus gives rise to pudendal nerve. So the root value is S2-4
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Nerve injured in fracture of medial epicondyle of humerus
It is more commonly injured than the lateral epicondyle, because the epiphysis of the medial epicondyle appears early and fuses late with the main epiphysis of the lower humerus. This fracture is commonly associated with posterior dislocation of the elbow. It may be associated with an ulnar nerve injury. Ref essential ...
149,090
medmcqa_train
Hotspot on Tc-99 is seen in which parotid tumour?
Wahin tumour, or papillary cystadenoma lymphomatosum, is the second most common benign parotid tumour and occurs most often in older white men. Because of the high mitochondrial content within oncocytes, the oncocyte-rich Wahin tumour and oncocytomas incorporate technetium-99m and appear as hot spots on radionuclide sc...
149,091
medmcqa_train
Grafting done between genetically different individuals of same species is -
Ans. is' b' i.e., Allograft o Based on the donor, the graft may be >Autograft (autogenic graft) : Graft from self.Isograft (syngraft) : Graft from a genetically identical person, e.g. identical twin.Allograft (homograft or allogenic graft) : Graft from a genetically unrelated member of same species.Xenograft (heterogra...
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medmcqa_train
All are seen in Tuberous sclerosis except –
Iris nodule (Lisch nodule) is seen in neurofibromatosis (not in tuberous sclerosis).
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Which of the following is a cause for conjugated hyperbilirubinemia?
Rotor's syndrome is a congenital illness which causes conjugated hyperbilirubinemia. Dubin's Jhonson syndrome is also a similar condition. Conjugated hyperbilirubinemia results from reduced secretion of conjugated bilirubin into the bile, such as occurs in patients with hepatitis, or it results from impaired flow of bi...
149,094
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Regan isoenzyme is increased in
The Regan isoenzyme is a placental-type alkaline phosphatase that is expressed in a number of human tumors, paicularly in gonadal and urologic cancers. Evidence now points to seminoma as a consistent producer of Regan isoenzyme although much more work will be required to establish its clinical utility. Ref:
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True about Chvostek's sign are all of the following except: March 2010, March 2013
Ans. C: Raised calcium levelPTH is essential for life. After parathyroidectomy, there is a steady decline in the plasma Ca2+ level. Signs of neuromuscular hyperexcitability appear, followed by full-blown hypocalcemic tetany.In humans, tetany is most often due to inadveent parathyroidectomy during thyroid surgery. Sympt...
149,096
medmcqa_train
Bacteria not affected by streptogramins is -
Ans. is 'a' i.e., E. coli o Streptogramins are active against gram-positive cocci and organisms responsible for atypical pneumonia (e.g., M. pneumoniae, Legionella spp., and Chlamydia pneumoniae), but largely inactive against gram-negative organisms, o They are bactericidal against streptococci and many strains of stap...
149,097
medmcqa_train
Function of Larynx is A/E
(Immunity enhancement): (303-4- Dhingra 5th edition; 577-P Hazarika 3rd)Function of the Larynx1. Primary function is to protect lower respiratory tractProtection of tracheobronchial tree is fascilitated by'Three - tier' sphincter action- Laryngeal elevation - Mylohyoid- Laryngeal tilting - Stylopharyngeous- Cricopharyn...
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Which of the following is/are caused by trachoma:
A. i.e. Entropion
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